ATI URINARY ELIMINATION CORRECT EXAMS AND ANSWERS

ATI URINARY ELIMINATION CORRECT EXAMS AND ANSWERS Normal urine production of adults - CORRECT ANSWER-1,500 to 2,000 mL Temporary or permanent, a stoma for the drainage of urine - CORRECT ANSWERurinary diversions one or both ureters to the abdominal surface - CORRECT ANSWER-ureterostomy a tube from the renal pelvis to the abdominal surface - CORRECT ANSWERnephorstomy Factors affecting normal urinary elimination - CORRECT ANSWER-age, pregnancy, diet, psychosocial factors, pain, surgical procedures, medications Common diagnostic tests in urinary elimination - CORRECT ANSWER-bedside sonography (bladder scanner, kidneys/ureters/bladder (KUB), Intravenous pyelogram (IVP), renal scan, renal ultrasound, cystoscopy, urodynamic testing bladder control for children occurs at these ages - CORRECT ANSWER-4 to 5 years enlargement of the prostate after 40 years of age can leader to - CORRECT ANSWERurinary frequency, hesitance, retention, incontinence, and urinary tract infections six major types of urinary incontinence - CORRECT ANSWER-stress, urge, overflow, reflex, functional, mixed, total The loss of small amounts of urine when laughing, sneezing, or lifting, primarily due to weak pelvic muscles, urethra, or surrounding tissues - CORRECT ANSWER-stress The inability to stop small amounts of urine flow long enough to reach the bathroom due to an overactive detrusor muscle with increased bladder pressure - CORRECT ANSWER-urge urinary retention from bladder over distention and frequent loss of small amounts of urine due to obstruction of the urinary outlet or an impaired detrusor muscle - CORRECT ANSWER-overflow the involuntary loss of a moderate amount of urine usually without warning due to hyperreflexia of the detrusor muscle, usually from altered spinal cord activity - CORRECT ANSWER-reflex the inability to get to the bathroom to urinate due to physical, cognitive, or social impairment - CORRECT ANSWER-functional the unpredictable, involuntary loss of urine that does not generally respond to treatment - CORRECT ANSWER-total laboratory tests for urinary incontinence - CORRECT ANSWER-urinalysis and urine culture/sensitivity serum creatinine and BUN THESE lab tests rule out urinary tract infections in urinary incontinence (presence of RBCs, WBCs, micro-organisms) - CORRECT ANSWER-urinalysis and urine culture/sensitivity THESE lab tests assess renal function (elevated with renal dysfunction) - CORRECT ANSWER-Serum creatinine and BUN A nurse in a provider's office is assessing a client who reports losing control of urine whenever she coughs, laughs, or sneezes. The client relates a history of three vaginal births, but no serious accidents or illnesses. Which of the following interventions are appropriate for helping to control or eliminate the client's incontinence? (select all that apply) a. Limit total daily fluid intake b. Decrease or avoid caffeine c. increase the intake of calcium supplements d. avoid the intake of alcohol e. use Crede maneuver - CORRECT ANSWER-b. decrease or avoid caffeine d. avoid the intake of alcohol A client who has an indwelling catheter reports a need to urinate. Which of the following interventions should the nurse perform? a. Check to see whether the catheter is patent b. reassure the client that it is not possible for her to urinate c. re-catheterize the bladder with a larger-gauge catheter d. collect a urine specimen for analysis - CORRECT ANSWER-a. check to see whether the catheter is patent rationale: a clogged or kinked catheter causes the bladder to fill and stimulates the need to urinate A provider prescribes a 24 hour urine collection for a client. Which of the following actions should the nurse take? a. discard the first voiding b. keep all voidings in a container at room temperature c. ask the client to urinate and pour the urine into a specimen container d. ask the client to urinate into the toilet, stop midstream, and finish urinating into the specimen container - CORRECT ANSWER-a. discard the first voiding A nurse is preparing to initiate a bladder training program for a client who has a voiding disorder. Which of the following actions should the nurse take? (Select all that apply) a. Establish a schedule for voiding PRIOR TO MEALS b. Have the client record voiding times c. Gradually increase the voiding intervals d. Remind client to hold urine until next scheduled voiding time e. Provide sterile container for voiding - CORRECT ANSWER-b. Have the client record voiding times c. gradually increase the voiding intervals d. remind client to hold urine until next scheduled voiding time rationale for not choosing a: bladder training involves voiding at scheduled frequent intervals and gradually increasing these intervals to 4 hr. Meal times are not regular, and the intervals may be longer than ever 4 hrs. A nurse educator on a medical unit is reviewing factors that increase the risk of urinary tract infections (UTIs) with a group of assistive personnel. Which of the following should be included in the review? (Select all that apply). a. Having sexual intercourse on a frequent basis b. Lowering of testosterone levels c. Wiping from front to back d. The location of the urethra in relation to the anus e. undergoing frequent catheterization - CORRECT ANSWER-a. Having sexual intercourse on a frequent basis e. undergoing frequent catheterization List at least four of the 6 types of urinary incontinence, along with a brief example or description of each (Sally used Olivia's really fancy tote.) - CORRECT ANSWER-1. stress- loss of small amounts of urine when laughing, sneezing or lifting due to weak pelvic muscles or other structures 2. urge- inability to stop urine flow long enough to reach the bathroom due to an overactive detrusor muscle with increased bladder pressure